HCPCS 66984

Procedure (ClaimLight category; the code descriptor is not shown)

Procedures Work RVU per service 7.35 (2022 fee schedule)

16,070
98th percentile among 6,326 codes billed · 2022
$1.55B
100th percentile among 6,326 codes billed · 2022
7.3M
99th percentile among 6,326 codes billed · 2022
102
86th percentile among 6,326 codes billed · 2022
2,384
94th percentile among 6,326 codes billed · 2022
-1.6%
Medicare payment on the code vs 2021; billers -0.4% · 2022

Trend

Medicare payment on the code

$0$1.00B2020: $1.31B paid20202021: $1.57B paid20212022: $1.55B paid20222023: $1.57B paid20232024: $1.61B paid2024$1.61B$0$1.00B2020: $1.31B paid20202021: $1.57B paid20212022: $1.55B paid20222023: $1.57B paid20232024: $1.61B paid2024$1.61B$0$1.00B2020: $1.31B paid20202021: $1.57B paid20212022: $1.55B paid20222023: $1.57B paid20232024: $1.61B paid2024$1.61B$0$1.00B2020: $1.31B paid20202021: $1.57B paid20212022: $1.55B paid20222023: $1.57B paid20232024: $1.61B paid2024$1.61B

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

010K2020: 15K providers20202021: 16K providers20212022: 16K providers20222023: 16K providers20232024: 16K providers202416K010K2020: 15K providers20202021: 16K providers20212022: 16K providers20222023: 16K providers20232024: 16K providers202416K010K2020: 15K providers20202021: 16K providers20212022: 16K providers20222023: 16K providers20232024: 16K providers202416K010K2020: 15K providers20202021: 16K providers20212022: 16K providers20222023: 16K providers20232024: 16K providers202416K

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
202415,527$1,607,135,368+2%6,680,4501012,2507.35
202315,965$1,574,488,007+2%7,103,6241012,2977.35
202216,070$1,549,042,104-2%7,285,3771022,3847.35
202116,131$1,573,931,045+20%7,363,2961042,3887.35
202015,059$1,307,633,532first year in data5,896,885922,0727.35

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
California1,246$143,478,753215,53787597
Florida932$115,672,061207,077101971
Texas956$111,778,688203,082101783
New York684$67,075,874179,966831,431
Pennsylvania667$63,841,199124,71382636
Illinois588$55,525,874804,8153704,825
Virginia381$51,197,088395,2082664,249
New Jersey369$49,966,97776,92295666
Ohio544$48,640,301431,3562333,012
Massachusetts323$44,936,297210,7101543,006
Washington468$44,205,40080,17553827
Georgia426$42,909,812298,6391783,234
Maryland258$42,895,03669,7981331,075
Arizona259$42,894,56675,4351561,010
North Carolina598$41,815,384610,7732104,389

Not listed: 1 billers with an armed-forces or unknown state code (AP); they are in the national totals.

Not listed: 3 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ733$81,168,131156,37878
Los Angeles-Long Beach-Anaheim, CA441$42,656,57065,00778
Chicago-Naperville-Elgin, IL-IN373$39,134,937248,384166
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD308$36,410,28263,51188
Dallas-Fort Worth-Arlington, TX236$33,812,98657,580111
Washington-Arlington-Alexandria, DC-VA-MD-WV215$31,470,67962,649103
Phoenix-Mesa-Chandler, AZ161$27,772,04547,459152
Boston-Cambridge-Newton, MA-NH222$27,475,490104,916122
Houston-Pasadena-The Woodlands, TX194$21,847,66838,01290
Miami-Fort Lauderdale-West Palm Beach, FL241$21,210,27138,09070
Atlanta-Sandy Springs-Roswell, GA215$21,186,350100,513156
Seattle-Tacoma-Bellevue, WA179$19,095,75331,03668
Baltimore-Columbia-Towson, MD129$18,521,34830,544116
Tampa-St. Petersburg-Clearwater, FL109$15,352,77327,780141
Detroit-Warren-Dearborn, MI182$15,215,96627,69583

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing 66984 nationally

Ophthalmology accounts for 38% of payment for 66984 nationally in 2022, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology8,72454%$588,675,65938%1,812,058208
Optometry5,52134%$15,544,3051.0%4,303,084779

Not listed: 7 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2022.

Top billers of 66984 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations